TY - JOUR
T1 - Determinants of School Diabetes Care Services and Quality Through the Lens of the School Nurse
T2 - A Qualitative Analysis
AU - An, Ruopeng
AU - Li, Danyi
AU - Cole, Marjorie
AU - Park, Katherine
AU - Lyon, Aaron R.
AU - White, Neil
N1 - Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
PY - 2022/10/1
Y1 - 2022/10/1
N2 - Schools play a critical role in students' diabetes management and ensure their safety and well-being. We conducted key informant interviews with 11 school nurses in Missouri to assess determinants for diabetes care implementation. Five themes and 29 subthemes were identified concerning school nurses, schools, external stakeholders, government, and the COVID-19 pandemic. A social-ecological model was developed to elucidate each level's barriers, facilitators, and resources, and their interplay. School nurses should lead diabetes management, emergency planning, and health education for students/staff. Multiple gray areas existed regarding school nurses' specific roles/responsibilities. Lacking funding, insurance, and communication with parents/physicians further challenged diabetes care.
AB - Schools play a critical role in students' diabetes management and ensure their safety and well-being. We conducted key informant interviews with 11 school nurses in Missouri to assess determinants for diabetes care implementation. Five themes and 29 subthemes were identified concerning school nurses, schools, external stakeholders, government, and the COVID-19 pandemic. A social-ecological model was developed to elucidate each level's barriers, facilitators, and resources, and their interplay. School nurses should lead diabetes management, emergency planning, and health education for students/staff. Multiple gray areas existed regarding school nurses' specific roles/responsibilities. Lacking funding, insurance, and communication with parents/physicians further challenged diabetes care.
KW - chronic illness
KW - diabetes care
KW - interview
KW - pediatrics
KW - school health
KW - school nurses
KW - thematic analysis
UR - http://www.scopus.com/inward/record.url?scp=85141005195&partnerID=8YFLogxK
U2 - 10.1097/ANS.0000000000000425
DO - 10.1097/ANS.0000000000000425
M3 - Article
C2 - 35652789
AN - SCOPUS:85141005195
SN - 0161-9268
VL - 45
SP - 351
EP - 370
JO - Advances in Nursing Science
JF - Advances in Nursing Science
IS - 4
ER -